The present disclosure provides a system with an innovative electrode designed as an RF/microwave antenna as well as methods to monitor/assess biological tissue and perform surgical procedures.

A microwave antenna apparatus comprises an electrically conductive ground element defining an aperture, an electrically conductive elongated element extending through the aperture and terminating at a distal end, and one or more dielectric elements. The one or more of the dielectric elements electrically insulate the elongated element and the ground element from one another. The microwave antenna apparatus may be configured for use in radiating microwave energy into surface tissue of a uterine cervix so as to provide a therapeutic effect in one or more regions of the uterine cervix, such as one or more regions of the cervix infected with human papillomavirus (HPV) and/or diagnosed with cervical intraepithelial neoplasia (CIN) or so as to create the correct biological response in one or more such regions. The microwave antenna apparatus may be configured for localized non-ablative hyperthermia of the surface tissue of the uterine cervix, localized ablation of the surface tissue of the uterine cervix, and/or cauterisation of the surface tissue of the uterine cervix.

An electrosurgical energy delivery apparatus includes an energy delivery circuit, a control circuit and an energy-harvesting system with a plurality of energy-harvesting circuits and a voltage regulator that provides a regulated DC voltage to the energy delivery circuit and/or the control circuit. The energy delivery circuit receives an electrosurgical energy signal having a primary frequency and selectively provides the electrosurgical energy signal to an energy delivery element. The control circuit connects to the energy delivery circuit and selectively enables the flow of electrosurgical energy to the energy delivery element. The plurality of energy-harvesting circuits each include an energy-harvesting antenna tuned to a particular frequency, a matched circuit configured to receive an RF signal from the energy-harvesting antenna, rectify the RF signal and generate a DC signal, and an energy storage device that connects to the voltage regulator to receive and store the DC signal.

The electrosurgical systems and corresponding methods of the present disclosure involve an electrosurgical generator, sensing circuitry, and a controller. The electrosurgical generator includes a radio frequency (RF) output stage that supplies power to tissue. The sensing circuitry measures impedance of tissue. The controller controls the power supplied from the RF output stage to track a nonlinear power curve until the power supplied from the RF output stage has reached a predetermined peak power of the nonlinear power curve. The controller further determines whether a tissue reaction has occurred based on impedance measured by the sensing circuitry and controls the power supplied from the RF output stage during a cooling phase if the controller determines that a tissue reaction has occurred. The controller may further control the power supplied from the RF output stage to track a linear power curve.

A microwave ablation antenna assembly includes an elongate body that extends from a first end to a second end thereof, and which defines therein a hollow inner volume and a longitudinal axis of the antenna. The ablation antenna assembly includes an applicator tip portion mounted on the second end of the elongate body, an elongate coaxial conductor assembly for connection to a source of microwave energy, a dipole tip portion that extends from the feed point of the coaxial conductor assembly towards the applicator tip, and a choke assembly with first and second choke conductors.

Electrosurgical forceps in which one or more pairs of non-resonant unbalanced lossy transmission line structures are arranged on the inner surfaces of the jaws of the forceps provide both (i) active and return electrodes for a radiofrequency (RF) signal, and (ii) lossy structures for delivering a microwave signal into biological tissue in conjunction with a mechanical gripping arrangement for applying pressure to material held within the jaws. The location of the pairs of transmission lines on the jaws of the forceps and the selection of the material of the jaws is arranged to ensure that any biological tissue gripped by the jaws become the propagation medium for the RF signal and the medium into which the microwave signal is lost.

A microwave generator configured to induce a change in temperature in a target area of a biological tissue so that the temperature of the target area exceeds the lethal threshold for the biological tissue, wherein the microwave generator is configured to release an electromagnetic pulse train in a frequency range between 0.4 GHz and 100 GHz that induces a thermal pulse train in the biological tissue, wherein: each pulse has a duration comprised between 100 ms and 2 minutes for the electromagnetic pulse train; the pulse width to period ratio is below 0.25 for the electromagnetic pulse train and the pulse width to period ratio is below 0.25 for the thermal pulse train; the peak to average ratio for the electromagnetic power exceeds 2 for the electromagnetic pulse train and the peak to average ratio for the temperature exceeds 2 for the thermal pulse train.

An electrosurgical instrument having a radiating tip with enhanced flexibility. In a first aspect, this is achieved by shaping the dielectric material in the radiating tip to facilitate bending of the radiating tip. In a second aspect, this is achieved by forming a dielectric body and outer sheath of the radiating tip as separate parts, to enable movement and flexure between the parts. By improving the flexibility of the radiating tip, maneuverability of the electrosurgical instrument may be improved.

Provided herein are devices, systems, and methods for delivering energy to tissue for a wide variety of applications, including medical procedures (e.g., tissue ablation, resection, cautery, vascular thrombosis, treatment of cardiac arrhythmias and dysrhythmias, electrosurgery, tissue harvest, etc.). In certain embodiments, devices, systems, and methods are provided for delivering energy to difficult to access tissue regions (e.g. central or peripheral lung tissues), and/or reducing the amount of undesired heat given off during energy delivery.

A flexible instrument comprises an antenna having a distal tip portion, a proximal base, and an antenna body therebetween. The antenna body comprises a patterned cylindrical structure having a proximal end coupled to the proximal base and a distal end coupled to the distal tip portion. The flexible instrument is configured to generate a radiation pattern from the antenna to ablate tissue.